People often take pride in the powerful and life-defining accomplishments they achieve in both their personal and professional lives. But when those fulfillments are suddenly and unjustly taken from them, they often struggle with the difficulties of not being able to maintain their feelings of self-worth and identity. During those harrowing instances when a once thriving and acclaimed person begins to feel isolated from the world at large, due to a life-threatening disease, they’ll do anything to maintain their sense of identity. That powerful struggle is grippingly portrayed through the title character in writer-directors Richard Glatzer and Wash Westmoreland’s new Academy Award-nominated drama, ‘Still Alice.’ The film, which is based on the book of the same name by Lisa Genova, follows the inspiring protagonist as she determinedly fights to save all aspects of her life, including her daily routines, her job and most importantly, her family dynamics, after she was diagnosed with Early Onset Alzheimer’s Disease.

‘Still Alice’ follows the title character, Dr. Alice Howland, (Julianne Moore), a famed Columbia linguistics professor and author, who realizes that she’s exhibiting signs of Early Onset Alzheimer’s Disease as she begins forgetting words while giving a speech at UCLA. When she returns home to New York, she begins making appointments with a neurologist, who officially diagnoses her with the disease. Alice and her scientist husband, John (Alec Baldwin), who also works at Columbia, are determined to fight the illness together. The couple stands unified when they tell their children, Lydia (Kristen Stewart), Tom (Hunter Parrish) and Anna (Kate Bosworth) and her husband, Charlie (Shane McRae), about the diagnosis.

While Anna and Tom, who Alice is emotionally closer with, due in part because of their more prestigious career choices, declare their support to help their mother, Lydia, an aspiring actress who lives in L.A., remains more weary of the swift change in the family’s connections and dynamics. But as time passes and Alice’s disease grows progressively worse, she’s forced to give up her job, social interactions and most devastating, her independence. While John tries to maintain his career while caring for his ailing wife, Anna becomes more concerned about developing the disease just like her mother, particularly since she and Charlie are trying to have children of their own. As Anna begins to distance herself from her mother, who’s contending with losing more memories everyday, Lydia begins to reevaluate her life and relationship with her family. Like the rest of her family, the determined performer starts to realize that with her once intelligent and fierce mother is becoming more vulnerable than ever, and they need to care for her, no matter what the personal consequences are in their own lives.

Moore, Stewart, Bosworth and Westmoreland generously took the time recently to participate in a press conference at New York City’s Crosby Hotel to talk about filming ‘Still Alice.’ Among other things, the actresses and scribe-helmer discussed how they wanted to adapt Genova’s book because they wanted to showcase the disease in a dramatic way that hadn’t been done in film before, while also incorporating normal comedic family moments into the story; how Moore worked with the National Alzheimer’s Association, who connected her with women who have been diagnosed with Early Onset Alzheimer’s Diseases, in an effort to better understand their struggles; and how one of the most challenging scenes to shoot was the sequence during which Alice and John tell their children of her diagnosis, as it completely changes the dynamic within the family.

Question (Q): Julianne, have any of your previous roles, such as Sarah from ‘The End of the Affair,’ influenced the way you played Alice?

Julianne Moore (JM): I tend not to work that way. I think sometimes when you look at someone’s career, you look for threads and references. But believe it or not, as actors, we’re freelancers who literally go from job to job. So you make a movie and then go onto the next one and the next one. Then, when someone asks me about a movie I made 10 years ago, I barely remember it. (laughs) Often people remember things in my movies and quote lines, and I’m like, “What’s that?” (laughs)

Like with (actor) Michael Angarano, he’s so great and so cute and funny. We were doing this little comedy called, ‘The English Teacher,’ and we had to kiss in it. He told the story on ‘Letterman’ or one of the other talk shows. We kissed and he said, “Was that sexy?” I went, “Yeah, Michael, that was great. You were terrific.” He said he wanted to die of embarrassment because he was quoting a line from ‘Boogie Nights,’ and he thought I would understand it. (laughs)

But, getting back to the question, I think everything you do as a person and everything you do as an actor ends up in your work, but it’s not as direct as you may think. It’s all just like life-accumulative.

Q: For the actors, What was your reaction when you got the script? Were you afraid a movie about Alzheimer’s wouldn’t be a big blockbuster, and make people say, “That’s depressing” and not want to see it?

Kristen Stewart (KS): Every experience is different when you’re an actor, and doing it for the reasons we do. Yes, it’s definitely morbid, and it’s not a walk in the park, but sometimes filmmaking can be very important. As soon as I read Julianne’s part in this, I knew that she was going to be doing something important. I knew this movie was being made so she could do something that would say something. It was intimated to me that it was our job to just hold her up.

One reason that I possibly felt so driven about this film is because Wash and Rich hired me. I felt like if they thought I could do it, then I could. It’s not that I don’t like that people can go to the movies and laugh, but sometimes I think a movie can really say something.

Kate Bosworth (KB): I felt the same way. I’d read the book before the script, and I think everyone in some way knows someone who has been effected by Alzheimer’s. In my family, both grandparents had Alzheimer’s, and my parents rallied the family to take care of them, and that touched me deeply.

I felt like this is an opportunity to shine a light on this disease in a way that hadn’t been done dramatically before. That was the real draw for me, as well as being able to work with Julianne. I’ve known her for years, but never had the opportunity to work with her before. I was excited to be able to watch her. It’s incredible and spectacular to be around her, and be part of the process.

JM: I did it for the money. (laughs) No, sorry, it was just such a great wonderful script and such a great book that Lisa wrote. What she did that is so remarkable is that she presented the disease completely subjectively. What would it be like? What does it feel like to go through this process? We never get to see that.

Also, Rich and Wash took the novel and made it cinematic in a very deceptively simple way. It was a thrill to be involved in something like that, and I think that’s what attracted us to it. It’s the human side of the story. You’re watching this family’s journey through this very difficult situation.

KS: It’s interesting that this is the kind of story where you know if it is done right, everyone is going to talk about it. If it were done badly, well…(laughs) The alternative is so polarized. So I thought, “if we do it right, it’s going to be more important than anything we’ve done in a long time.”

Wash Westmoreland (WW): We didn’t want this to be a depressing movie. We wanted to shine a light on the human element, and the connections people can make during even the most difficult times. We wanted to make a powerful film about what it means to be alive.

KB: I think even through the tragedy, what I love the most about the movie is the comedic moments; those moments are so human. I take care of my grandmother with my parents, and there are some moments that have an edge where you don’t know if they’re tragic or hilarious. I feel like that element was very important to you, Wash, and Richard, specifically putting the humanity in Julianne’s journey, especially with Alec. There are moments that make it very real.

Q: Wash, what was the process of collaborating with Lisa on adapting her book into the film, especially on the set?

WW: Well, often times when you get into a situation where you collaborate, there can be a lot of tension. But Richard and I wrote the first draft of the screenplay before we showed it to Lisa. So we were nervous when we sent it to her. But Lisa’s initial response was incredibly positive.

Lisa was helpful to us while we were filming, as she was able to give us target feedback. She would visit the set, and we had a wonderful time. We very much enjoyed seeing her work not only shine through in the screenplay, but also in these amazing performances. We were very much in tune all the way throughout.

One of the challenges of adapting the book was the fact that the story’s told through Alice’s internal point-of-view. So we had to figure out how to create that tone, so that the audience members can understand the story through her point-of-view. Then they could stay with her through her disappointments and triumphs.

Another challenge for us while making the film was deciding what material we should leave out. Typically, it takes 16-18 hours to read a book, which allows for a lot of time for events to unfold. But when you’re watching a movie, there’s a much shorter span of time for those events to play out. I think some adaptations try to cling onto too much information. So you have to be disciplined to be able to get to the core of the story, and make it a cinematic experience that works.

Q: Julianne, did you reach out to any Alzheimer’s organizations while you were preparing for your role? How has the film impacted your thoughts on the disease?

JM: Boy, did I ever! I knew nothing about Alzheimer’s. I’m one of those rare people who hadn’t had any contact with the disease. I didn’t know anyone personally who had it.

So I started working with one of our producers, Elizabeth Gelfand Stearns, who told me about her experiences with her mother and grandmother. The National Alzheimer’s Association also set me up to do Skype calls with women who have been diagnosed with Early Onset Alzheimer’s, and I was able to talk to them about their experiences.

I also attended support groups, which supplied me with a lot of information. From there, I went to a long-term care facility, where I spoke to caregivers and families. I also watched many documentaries on the subject, and immersed myself in the illness.

I told Rich and Wash that I didn’t want to do anything on camera that I hadn’t seen, because I felt like I didn’t have the authority to do so. Whenever I was unclear about something, I would check on the behavior with someone familiar with the illness. I think people were so happy and excited that we wanted to know about the illness, and get it right, so they really extended themselves.

A lot of times, people with Alzheimer’s don’t feel seen, as we often look the other way, since it’s hard to look at. Alzheimer’s patients feel like there’s some kind of shame attached to cognitive decline. There’s one line in the film where Alice says, “I wish I had cancer instead,” because it’s easier to see what’s happening. So it was great to see the experience of the people I spoke to, and I really owe a lot to them.

Q: One of the great aspects of the film is the support Alice receives from her family. So when you spoke to the families of Alzheimer’s patients, how much did you take away from speaking to them?

JM: Well, I saw that every family is different. Some are very supportive and are there with the patient, while others are not, and refuse to even acknowledge the illness. One woman told me that her children refuse to accept that she has Alzheimer’s. Another family talked about how the father wouldn’t talk about it, and then the kids didn’t know what to do. So every family, and even friend, dynamic is completely different. Patients have said they’re surprised about who sticks around, and who disappears.

In the movie, we see the one daughter who you expect to stick around actually not be able to take it, because of her own potential diagnosis when she gets older. Then the other daughter, who you’d expect to not come back home to help her mother, is able to handle it.

The dynamic in the marriage was also so interesting to me. Alec was so incredibly compassionate in his performance. You see how much you love his wife, and he says how much he’s going to be there. But at the end of the day, he can’t handle it-he wants to be with the old version of his wife.

WW: My co-director, Richard, has ALS, and we’ve discovered how some people have become so distant. No one ever said anything mean, but they have re-prioritized. Meanwhile, other friends would come forward, and really be emotionally present. So we wanted to create within the family dynamic, a situation where people’s presence meant as much as people’s absence.

It’s really interesting to see how that works with the family members throughout the film. Lydia is initially the antagonistic one, and is absent from the birthday dinner. But she comes through for her mother in the end. Meanwhile John, who’s in love with his wife, struggles constantly as he’s dealing with the disease.

I also find it fascinating that Kate’s character, Anna, is the child who learns she has the gene that can lead to Alzheimer’s. She then becomes absent for a while after that, as she can’t deal with her mother. When she comes back, she’s still clearly dealing with these problems with her mother. But ultimately when she has her babies, there’s a feeling that a new relationship can start between her and her mother again.

Q: What was the most challenging scenes for you all to film, and then watch later on when the film was completed?

JM: The most challenging scene for me to shoot was actually the family scene, where Alec and I were supposed to give the news to our kids. Alice wasn’t in a place where she began declining yet. She was just diagnosed, so she’s still very present and articulate. So how do you give that news to anyone? She’s worried about her children, their relationships and their potential diagnoses. So I was worried about how that scene started and ended, making that the most difficult day.

WW: It was tough, because it’s like a bomb going off within the family. It was really about how people initially responded emotionally. It was different for each character. It took a lot of working out to get that emotional tone right.

KB: I agree-that scene was difficult for everybody, as we were trying to figure out the tone. I feel like my character, Anna, was Alice’s mirror. They knew each other’s short hand, and were very close. While everyone else was asking if Alice and John were getting divorced, I had the line during the scene where I asked, “Are you sick?”

My character felt the most vulnerable there, and she then closes up during the rest of the film. She isn’t able to handle the fate of having the gene, as she’s watching her mom decline, and begins realizing that’s how she may decline. So she starts to shut off from that relationship quite a bit.

Q: Kristen, was that something you related to, as well?

KS: Personally I did relate to it, as well. You have two starkly different representations of people, but Lydia has so many traits of her mother. Due to this period of Alice’s accelerated illness, they might be able reach a new comfort level with each other, and learn to appreciate each other. But first you have this girl (Lydia) who does not want anything to hold her down. She isn’t isolated, but she is different from her family. She is a very creative person, and wants to live and appreciate every moment.

One other thing the movie shined a light on is living in the present moment, and not being ruined by protecting yourself too much. It’s funny that Lydia becomes a backbone of the family, as it’s counter-intuitive to the story. She’s flimsy in the beginning of the story, but then she actually ends up being the strongest emotionally for her mom, and she learned a lot from that experience.

Watch a clip, and check out photos, from ‘Still Alice’s New York press conference below.

 Written by: Karen Benardello